Claim total
$316.11
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-11-22
- Stop
- 2021-11-22
The parties
- Patient
- patient Abbie Kulas
- Provider
- provider Clyde Beier
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
Record id
377e9575-a2e9-6ea3-c644-9b3cc8e27a75